Individual provider · Type 1 NPI

Scott David Stark, LPC

Mental Health Counselor · Jackson, MI

NPI number 1215405360 Active

Practice location

300 W Washington Ave Ste 210B
Jackson, MI 49201-2160

Mailing address

1508 W Michigan Ave Apt 1
Jackson, MI 49202-4025

Other practice locations

  • 1508 W Michigan Ave Apt 1, Jackson, MI 49202-4025 · (517) 802-0501

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1215405360

Scott David Stark, LPC's National Provider Identifier is 1215405360, issued on Nov 7, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MI. The record was last updated on Nov 11, 2024.